Educational disadvantage and cigarette smoking during pregnancy

Abstract This study examined the influence of education on smoking status in a cohort ( n = 316) of pregnant women who were smokers at the time they learned of the current pregnancy. Subjects were participants in clinical trials examining the efficacy of monetary-based incentives for smoking-cessati...

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Bibliographic Details
Published in:Drug and alcohol dependence 2009-10, Vol.104 (Supplement 1), p.S100-S105
Main Authors: Higgins, Stephen T, Heil, Sarah H, Badger, Gary J, Skelly, Joan M, Solomon, Laura J, Bernstein, Ira M
Format: Article
Language:English
Subjects:
Academic achievement
Adult
Antenatal care
Cessation
Education
Educational Status
Female
Health disparities
Humans
Postpartum Period
Pregnancy
Pregnant women
Prenatal Care - economics
Prenatal Care - methods
Psychiatry
Relapse prevention
Smoking
Smoking - economics
Smoking - epidemiology
Smoking Cessation - economics
Tobacco smoking
Treatment
Vulnerable Populations
Women
Young Adult
Young women
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Summary:Abstract This study examined the influence of education on smoking status in a cohort ( n = 316) of pregnant women who were smokers at the time they learned of the current pregnancy. Subjects were participants in clinical trials examining the efficacy of monetary-based incentives for smoking-cessation and relapse prevention. In multivariate analyses, educational achievement was a robust predictor of smoking status upon entering prenatal care, of achieving abstinence antepartum among those still smoking at entry into prenatal care, and of smoking status at 6-month postpartum in the entire cohort and the subsample who received smoking-cessation treatment. In addition to educational attainment, other predictors of smoking status included smoking-related characteristics (e.g., number of cigarettes/day smoked pre-pregnancy), treatment, maternal age, and stress ratings. We suggest that strategies to increase educational attainment be included with more conventional tobacco-control policies in efforts to reduce smoking among girls and young women.
ISSN:0376-8716
1879-0046
DOI:10.1016/j.drugalcdep.2009.03.013